Patterns and determinants of aerated drinks consumption among adolescents in India: analysis of National Family Health Survey-5 (2019-2021) data

Purpose This study aims to investigate the consumption pattern of aerated drinks and examine its determinants among adolescents' boys and girls (15-19 years) in India.Design/methodology/approach The fifth round of National Family Health Survey (2019-2021) data was examined applying sample weights. Pattern of consumption and its determinants was analysed separately for boys and girls using binary logistic regression and calculating adjusted odds ratio (AOR) at 95% confidence interval.Findings The daily, weekly and occasionally consumption of aerated drinks was 4.4%, 22.7%, 63% for boys and 2.9%, 14%, 70.8% for girls, respectively. Factors such as secondary/higher education [Boys AOR = 1.5, (1.2-1.9) (p = 0.001); Girls AOR = 1.2, (1.1-1.2) (p < 0.001)]; rich wealth index [Boys AOR = 1.8, (1.6-2.1) (p < 0.001); Girls AOR = 1.3, (1.3-1.4) (p < 0.001)]; fried food consumption [Boys AOR = 11.1, (9.5-12.9) (p < 0.001); Girls AOR = 11.5, (10.8-12.3) (p < 0.001)]; and watching television [Boys AOR = 1.5, (2.3-1.7) (p < 0.001); Girls AOR = 1.3, (1.3-1.4) (p < 0.001)] were found significant predictors of aerated drink consumption among adolescents.Originality/value The authors noted differences in consumption pattern between adolescents' boys and girls. A shift to occasional consumption from weekly and daily was also observed. A further decrease in consumption may requires gender and region-specific health-promotion interventions. Rationalising sugar-sweetened beverages taxation adhering World Health Organisation's recommendation to reduce affordability may be further researched in the Indian context. Furthermore, sale and consumption of traditional and locally available fruits, vegetables and healthy beverages may be warranted.